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Prevalence of Vasculitic Neuropathy in Wegener Granulomatosis
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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We read with interest the article on the neurologic manifestation of
Wegener granulomatosis (WG) by de Groot et al,1
which described a prospective series of 128 consecutive patients with WG ascertained
between 1991 and 1997 who underwent a standardized neurologic evaluation,
including history, examination, electroencephalography, and electrodiagnostic
testing. The authors determined that 56 patients (44%) had a peripheral neuropathy:
a distal symmetric polyneuropathy in 31 (55%) and multiple mononeuropathy
in 25 (45%). Weakness was present in 19 patients with neuropathy (34%), and
muscle atrophy occurred in 24 (43%), implying that the neuropathy was purely
sensory in more than 50%. All patients were treated with immunosuppressive
agents to induce remission (generally oral cyclophosphamide and corticosteroids).
The authors reported that whereas patients with multiple mononeuropathy exhibited
a significant improvement in disability after treatment, those with a symmetric
polyneuropathy did not.
We suspect that this study overestimated the true incidence of vasculitic
involvement . . . [Full Text of this Article]
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